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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Ephraim Mcdowell Regional Medical Center

Ephraim Mcdowell Health · Danville, KY

217 South Third Street, Danville, KY 40422(859) 239-2409

3 of 5

CMS star rating

164

Beds

6,065

Inpatient discharges a year

$251.9M

Net patient revenue a year

35

In-network payers

About this hospital

Ephraim Mcdowell Regional Medical Center is a 164-bed voluntary non-profit - private hospital in Danville, KY, affiliated with Ephraim Mcdowell Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 216 disclosed rate categories.

  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
CCN
180048
NPI
1821135963
Health system
Ephraim Mcdowell Health
Teaching
No Medicare-funded residents
County
Boyle County
Metro area
Danville, KY MicroSA
Medicare contractor
Jurisdiction 15, CGS Administrators (15101)
In Medicare since
1966
Last CMS survey
2015

Prices for common services

The 24 services Ephraim Mcdowell Regional Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$2,812 - $6,531

from 2 insurers · median $4,671

Blue Cross$6,531
Insurer A*$2,812

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$5,084 - $9,287

from 2 insurers · median $7,186

Blue Cross$9,287
Insurer A*$5,084

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$166 - $2,390

from 3 insurers · median $2,037

UnitedHealthcare$2,037
Insurer A*$166
Insurer B*$2,390
Medicare $497Nearby hospitals $2,49818% below nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$5,917 - $6,825

from 2 insurers · median $6,371

Cigna$5,917
Insurer A*$6,825
Medicare $5,500Nearby hospitals $7,87419% below nearby hospitals

103 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Ephraim Mcdowell Regional Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*19
406%
47
Insurer B*17
330%
211
Insurer C*12
96%
27
Insurer D*13
77%
013

How we chose these services: 6 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ephraim Mcdowell Regional Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)

More about this hospital

  • Quality

    3 of 5 stars

    • 139 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.39%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 42 services, including trauma care
    • 360 affiliated clinicians
    See doctors and services
  • Finances

    $251.9M net patient revenue

    • Operating margin on patient care -19.7%
    • $8.2M unreimbursed and uncompensated care
    • -$20.8M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Daniel Mckay, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Ephraim Mcdowell Regional Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
61-0492356Ephraim Mcdowell Regional Medical Center57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more1952353948 Ephraim Mcdowell Regional Medical Center Incorporated1821135963 Ephraim Mcdowell Regional Medical Center Incorporated1316141351 Ephraim Mcdowell Regional Medical Center Incorporatedand 14 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

217 South Third Street, Danville, KY 40422

(859) 239-2409

Get directions

Frequently asked questions

About Ephraim Mcdowell Regional Medical Center's rates and hospital price transparency.

How much does an MRI cost at Ephraim Mcdowell Regional Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ephraim Mcdowell Regional Medical Center range from $393 to $1,386 across 3 insurers. Aetna's rate is $393. The median at nearby comparable hospitals is $1,082. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Ephraim Mcdowell Regional Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ephraim Mcdowell Regional Medical Center range from $256 to $514 across 3 insurers. Aetna's rate is $256. The median at nearby comparable hospitals is $736. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Ephraim Mcdowell Regional Medical Center?

For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Ephraim Mcdowell Regional Medical Center range from $1,228 to $2,838 across 2 insurers. The median at nearby comparable hospitals is $2,514. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Ephraim Mcdowell Regional Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Ephraim Mcdowell Regional Medical Center range from $2,812 to $6,531 across 2 insurers. Blue Cross Blue Shield's rate is $6,531. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Ephraim Mcdowell Regional Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ephraim Mcdowell Regional Medical Center range from $58 to $348 across 4 insurers. UnitedHealthcare's rate is $297. The median at nearby comparable hospitals is $200. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Ephraim Mcdowell Regional Medical Center's CMS star rating?

Ephraim Mcdowell Regional Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Ephraim Mcdowell Regional Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Ephraim Mcdowell Regional Medical Center for fiscal year 2027.

Does Medicare penalize Ephraim Mcdowell Regional Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Ephraim Mcdowell Regional Medical Center's base inpatient payments by an estimated 0.39% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Ephraim Mcdowell Regional Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (131 discharges), heart failure and shock with mcc (97 discharges), simple pneumonia and pleurisy with mcc (78 discharges).

What is Ephraim Mcdowell Regional Medical Center's case mix index?

Ephraim Mcdowell Regional Medical Center's Medicare case mix index is 1.82 for fiscal year 2027, higher than 63% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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